| NPI | 1033360987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA34342) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA14057) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |